HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED Permit Number: 11 I 1 "M4
By
® l� St. Lucie County RECEVED
Building Permit Application NOV,O 2 2017
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
Address: 9500 S Ocean Dr Apt 605
Legal Description: Islandia II Condominium Unit 605
Property Tax ID #: 4502-602-0049-000-6
Site Plan Name:
Project Name: GATSOS
Setbacks Front Back: X
Install 2 Accordion Shutters
11_HVAC 0 Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 7356.00
Lot No.
Block No.
Right Side: Left Side:
JCIIIIIL—LIICL.R dil
Sas Piping
dpply.
�_ Shutters
❑
Windows/Doors
Sprinklers
Generator
Roof = Roof pitch
S Ft. of First Floor: _
Utilities:li Sewer D Septic
Building Height:
C3Y
Ct}NTRACTOIi
Name Stephen Gatsos
Name: Michael Heissenberg
Address:9500 S Ocean or Apt 605
Company: Expert Shutter Services
City: Jensen Beach State: �L
Zip Code: 34957 Fax:
Phone No. 772-229-2664
Address: 668 SW Whitmore Dr
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-871-0990
Phone No. 772-871-1915
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Callexpert@aol.com
State or County License: 16572
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _ Not Applicable
Name: Tgtecomc.
MORTGAGE COMPANY x Not Applicable
Name:
Ad d ress: 6355 NW 36th St Suite 305
Address:
City: Virginia Gardens State: FL
Zip:33166 Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: = Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that 1 will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you integd to obtain financing, consult with lender or an attorney before
Signature
as Agent fbr Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_` & l_LJ_CJi COUNTY OF 4S& l y in i, P
The forgoing instrument was acknowledged before me
this=-;?5 day of 20laby
Michael Heissenixim
(Name of person acknowledging)
The forgoing instrument was acknowledged before me
this day of ft_-- 2Jf>C V- , 20 n by
Michael Hsissenberg
(Name of person acknowledging )
44 .L.X� /:A�(�l/Y
( gnature of o ary Public- State of Florida )
Personally Known OR Produced Identification Personally Known `/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
CommissionNo.5GIQQ3Li AR I)HalaighShort CommissionNo.(^G1)gm'z (Seal)
NOTARY-
PUBLIC
g STATE OF FLORID 40�QRI,P, Haleigh Short
Revised 07/15/2014
Expires 5/25/2021
STATE OF FLORIE
Comm# GG148342
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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REVIEW
DATE
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COMPLETE
INITIALS
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